Indigenous Women's Experiences of Lateral Violence: A Systematic Literature Review.

The purpose of this systematic literature review (SLR) was to methodically integrate peer-reviewed findings regarding lateral violence within Indigenous communities, with particular attention to the experiences of Indigenous women. Lateral violence describes aggression within systemically exploited groups. Interpretations from eligible articles were informed by intersectionality theory and post-colonial theory. Eligibility criteria included quantitative and qualitative peer-reviewed articles on lateral violence within Indigenous communities. Only articles that were primary sources, available to download in English, and published between 2000 and 2021 were included. Samples did not need to consist of Indigenous women exclusively, but Indigenous women had to be included. First, advanced searches were conducted in five databases (Academic Search Complete, PsycINFO, Indigenous Peoples: North America, ProQuest: Sociology Collection, and ERIC). Second, a multidisciplinary index (Google Scholar) was searched. Third, 23 peer-reviewed journals specializing in Indigenous topics were systematically searched. Lastly, forward and backward snowballing techniques were implemented. Articles were appraised following PRISMA-P guidelines. Ten articles passed the eligibility criteria. Findings suggest that lateral violence within Indigenous communities is a complex social concern, with participants disclosing both survivorship and contribution to lateral violence. Within Australian and Canadian contexts, lateral violence experiences are prevalent and persistent occurrences. Lateral violence is a controversial and taboo topic and is often silenced or normalized within Indigenous communities. For this reason, further research is warranted to raise awareness of lateral violence to disrupt the cycle of internalized oppression.

The presence of psychological distress in healthcare workers across different care settings in Windsor, Ontario, during the COVID-19 pandemic: A cross-sectional study.

Introduction: Few studies have examined psychological distress in healthcare workers (HCWs) across the care continuum. This study describes distress levels reported by HCWs across care settings and factors associated with distress. Methods: A cross-sectional survey of HCWs from Windsor, Ontario, was conducted between May 30th, 2020, and June 30th, 2020. The survey included the Kessler Psychological Distress Scale (K10), sociodemographic, frontline status, perceptions of training, protection, support, respect among teams, and professional and personal stressors. Univariate analyses were used to compare across settings and multivariate logistic regression assessed factors associated with distress. Results: Four hundred and three HCWs from the hospital (49.4%), community health and social service (18.4%), first responder (14.7%), primary care (7.9%), home (6.0%), and long-term care (LTC; 4.0%) participated in the survey. Common concerns included fear of transmitting COVID-19 to family, safety on the job, and balancing personal care with work demands. LTC and home-care HCWs reported greater concern about workload and staffing levels, whereas community health workers were more anxious about their financial security. Overall, 228 (74.2%) HCWs who completed the K10 reported high distress, with greater rates among hospital and LTC HCWs. Distress was more likely in HCWs who identified as female, younger than 55, perceived lower respect among team, and experienced greater worry about physical and mental health and managing high workloads. Conclusion: Results showed a high degree of distress experienced by HCWs across care settings and the impact of the COVID-19 pandemic on personal and work-related stress. Promoting self-care and supportive and collaborative healthcare teams are promising avenues for mitigating symptoms of distress.